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Search › Arizona › 101YA0400X

Nannie Jackson

NPI 1467823435 · on the registry since 2015

Practice

Address
9201 N 5th St
Phoenix, AZ 85020
Phone
(602) 331-5792
Fax
(602) 331-7855
Organisation at this address
Desert Mission Inc
Desert Mission Inc
Desert Mission Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona